REQUEST LETTER/FORM

(House Construction, Extension, Fencing, Certification, Etc.)

To: AR EDGAR A CLARIZ Day Month Year 20

Head, Planning, Design and Construction Department DATE:

Armed Forces and Police Mutual benefit Assn., Inc.

TIME: ☐ AM ☐ PM
Camp Aguinaldo
Quezon City Application
(02) 8911-8910 No.
Application Number to be fill out by A&E personnel

AFPMBAI SUBDIVISIONS CLIENT REQUEST

☐ Bacolod Homes Royale (BHR) a. Authority to Construct

☐ Golden Sunrise Mutual Homes (GSMH)
☐ Katatagan Mutual Homes (KMH)
☐ Grand View Mutual Residences (GVMR)
☐ La Tierra Verde Mutual Homes (LTVMH)
☐ Mutual Homes Butuan (MHB)
☐ Mutual Homes Pagadian (MHP)
☐ Others: __________________________
BLOCK & LOT NUMBER
☐ Housing Unit ☐ Perimeter Fence ☐ Carport
☐ Additional/extension _______________________
☐ Others __________________________________
b. Certification/Authorization
☐ Application for Building Permit
☐ Application for Water & Electric Connection
☐ Conduct relocation survey
c. Request of the following Documents:
☐ Subdivision Plan, Vicinity Map, Lot Location Plan
☐ Copy of Transfers Certificate of Title
☐ Others __________________________________
d. ☐ Construction Bond Refund
e. Others: ________________________________________________

☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☐7 ☐8 ☐9 ☐10 ☐11 ☐12 ☐13 ☐14 ☐15 ☐16 ☐17 ☐18 ☐19 ☐20
BLK
☐21 ☐22 ☐23 ☐24 ☐25 ☐26 ☐27 ☐28 ☐29 ☐30 ☐31 ☐32 ☐33 ☐34 ☐35 ☐36 others
1 ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☐7 ☐8 ☐9 ☐10 ☐11 ☐12 ☐13 ☐14 ☐15 ☐16 ☐17 ☐18 ☐19 ☐20
LOT ☐21 ☐22 ☐23 ☐24 ☐25 ☐26 ☐27 ☐28 ☐29 ☐30 ☐31 ☐32 ☐33 ☐34 ☐35 ☐36 ☐37 ☐38
☐39 ☐40 ☐41 ☐42 ☐43 ☐44 ☐45 ☐46 ☐47 ☐48 ☐49 ☐50 ☐51 ☐52 ☐53 ☐54 others
☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☐7 ☐8 ☐9 ☐10 ☐11 ☐12 ☐13 ☐14 ☐15 ☐16 ☐17 ☐18 ☐19 ☐20
BLK
☐21 ☐22 ☐23 ☐24 ☐25 ☐26 ☐27 ☐28 ☐29 ☐30 ☐31 ☐32 ☐33 ☐34 ☐35 ☐36 others
2 ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☐7 ☐8 ☐9 ☐10 ☐11 ☐12 ☐13 ☐14 ☐15 ☐16 ☐17 ☐18 ☐19 ☐20
LOT ☐21 ☐22 ☐23 ☐24 ☐25 ☐26 ☐27 ☐28 ☐29 ☐30 ☐31 ☐32 ☐33 ☐34 ☐35 ☐36 ☐37 ☐38
☐39 ☐40 ☐41 ☐42 ☐43 ☐44 ☐45 ☐46 ☐47 ☐48 ☐49 ☐50 ☐51 ☐52 ☐53 ☐54 others
☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☐7 ☐8 ☐9 ☐10 ☐11 ☐12 ☐13 ☐14 ☐15 ☐16 ☐17 ☐18 ☐19 ☐20
BLK
☐21 ☐22 ☐23 ☐24 ☐25 ☐26 ☐27 ☐28 ☐29 ☐30 ☐31 ☐32 ☐33 ☐34 ☐35 ☐36 others
3 ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☐7 ☐8 ☐9 ☐10 ☐11 ☐12 ☐13 ☐14 ☐15 ☐16 ☐17 ☐18 ☐19 ☐20
LOT ☐21 ☐22 ☐23 ☐24 ☐25 ☐26 ☐27 ☐28 ☐29 ☐30 ☐31 ☐32 ☐33 ☐34 ☐35 ☐36 ☐37 ☐38
☐39 ☐40 ☐41 ☐42 ☐43 ☐44 ☐45 ☐46 ☐47 ☐48 ☐49 ☐50 ☐51 ☐52 ☐53 ☐54 others
☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☐7 ☐8 ☐9 ☐10 ☐11 ☐12 ☐13 ☐14 ☐15 ☐16 ☐17 ☐18 ☐19 ☐20
BLK
☐21 ☐22 ☐23 ☐24 ☐25 ☐26 ☐27 ☐28 ☐29 ☐30 ☐31 ☐32 ☐33 ☐34 ☐35 ☐36 others
4 ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☐7 ☐8 ☐9 ☐10 ☐11 ☐12 ☐13 ☐14 ☐15 ☐16 ☐17 ☐18 ☐19 ☐20
LOT ☐21 ☐22 ☐23 ☐24 ☐25 ☐26 ☐27 ☐28 ☐29 ☐30 ☐31 ☐32 ☐33 ☐34 ☐35 ☐36 ☐37 ☐38
☐39 ☐40 ☐41 ☐42 ☐43 ☐44 ☐45 ☐46 ☐47 ☐48 ☐49 ☐50 ☐51 ☐52 ☐53 ☐54 others

CLIENT/AWARDEE INFORMATION (Please write legibly and complete the form)

Rank: __________ Given Name: ____________________________ M.I ________ Surname: __________________________

Branch of Service: ____________________ Contact No: _________________________ Tel. No.: ______________________
Email Address: ________________________________________________________________________________________
Complete Mailing Address: _______________________________________________________________________________

Documents Received by Client: Name of Assessor (AFPMBAI Personnel)

______________________________ ☐ Letter Request Form ☐ Subdivision Plan A&E Personnel ☐ Vince ☐ Mark
Client Signature ☐ Vicinity & lot Plan ☐ Titles RESD Name: ______________
☐ Others: Branch Office Name: _______________

Real Estate Division – Planning, Design and Construction Department – A & E Section 2020 Email: vjl.bangcaya@afpmbai.ph /mag.soliman@afpmbai.com.ph